Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TEMPESTT BLACK NP, RN
NPI 1649728528
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since September 20, 2016PECOS EnrolledAccepts Medicare Assignment
411 LAFAYETTE ST, NEW YORK, NY 10003(315) 576-5694 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, Mar 6, 2026, Mar 24, 2021 and 1 more (4 updates tracked since 2016).

About Tempestt Black Np, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEMPESTT BLACK NP, RN (NPI 1649728528) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (403386) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649728528
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTEMPESTT BLACKCredential: NP, RN
Location Address411 LAFAYETTE STNew York, NY 10003-7032
Mailing Address117 Constance Way WRochester, NY 14612-2749 · (315) 576-5694
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 20, 2016
Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1649728528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NY · 403386✔ Licensed in WA · AP61498452✔ Licensed in MA · RN2385688
Also ListedRegistered NurseTaxonomy 163W00000X · License 61491766 (WA), RN2385688 (MA), 22703430 (NY)
411 LAFAYETTE ST, New York, NY 10003

Secondary Practice Locations 2

Location 16406 Whispering Woods DrWilliamson, NY 14589-9002 · Phone (315) 576-5694
Location 2125 Lattimore Rd Ste 150Rochester, NY 14620-4156 · Phone (585) 275-7604

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tempestt Black Np, Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002303468
PECOS Enrollment IDI20251017002560
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Tempestt Black reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
245 5TH AVE FL 3
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Psychiatric Nurse Practitioner PC
  • 63 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
Psychiatric/Mental Health
4803 FREMONT AVE N
Seattle, WA 98103
  • Reassigned Medicare billing, Massachusetts and Washington enrollments
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
411 LAFAYETTE ST, SUITE # 638
NEW YORK, NY 10003
Social Worker (Clinical)
411 LAFAYETTE ST, SUITE 638
NEW YORK, NY 10003
Social Worker (Clinical)
411 LAFAYETTE ST, SUITE # 638
NEW YORK, NY 10003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tempestt Black's NPI number?

The NPI number for Tempestt Black is 1649728528. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Where is Tempestt Black located?

Tempestt Black practices at 411 Lafayette St, New York, NY 10003. The listed phone number is (315) 576-5694.

What is Tempestt Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tempestt Black enrolled in Medicare?

Yes. Tempestt Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tempestt Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tempestt Black reassigns Medicare benefits to 3 organizations: Psychiatric Nurse Practitioner P.C (New York, NY), University Of Rochester (Rochester, NY) and Moonshot Psychiatric Nurse Practitioner PC (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tempestt Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tempestt Black accept?

Health plans from Harvard Pilgrim Health Care list Tempestt Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tempestt Black was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.